Bachelor's degree in Business or Health Care Administration, Accounting, Nursing or equivalency and three years related experience; demonstrated human relation and effective communication skills required.

Applicants must demonstrate the potential ability to perform the essential functions of the job as outlined in the position description.

Disclaimer

This job description has been designed to indicate the general nature and level of work performed by employees within this classification. It is not designed to contain or be interpreted as a comprehensive inventory of all duties, responsibilities and qualifications required of employees assigned to the job.

Essential Functions

Negotiates single-case agreements and invoice settlements with payers not currently contracted.

Creates and distributes fee schedules to various parties according to contract specifications.

Conducts reimbursement analysis to determine financial benefits.

Conducts an analysis of potential payers to assess potential business compatibility.

Provides assistance on large contract negotiations, such as utilization-weighted analysis or submitting amendments.

Maintains current knowledge of appropriate contractual provisions and of government regulations related to the establishment and maintenance of contractual arrangements.

Represents contracting department at meetings.

Problem Solving

The incumbent generally follows departmental guidelines when negotiating contracts and agreements, but uses independent judgment when negotiating contract language, getting payers to agree to rates, analyzing and recommending potential payers and financial benefits. The incumbent would work with superior if problems occur during negotiations or when a contract falls outside departmental guidelines.